Amy Beth Dobrozdravic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24633 Issued in FL

Practice address

680 E State Road 50
Clermont, FL 34711-3184

Phone

(352) 241-4500

NPI assigned

Jul 19, 2018

Last updated

Dec 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio Dental Professionals Workman, PC

  dba Pickerington Family Dental

  • General Practice Dentistry
  • Pickerington, OH
  • NPI 1629298948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1922584291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E STATE ROAD 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113184",
            "telephone_number": "352-241-4500",
            "fax_number": "352-988-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E STATE ROAD 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113184",
            "telephone_number": "352-241-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROZDRAVIC",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Marie Dillon, NP-C
• Dimacare Home Health Agency Inc
• Lynda Dinter, PH.D., LMHC, NCC
• Miguelina Diroche Ortiz, MD
• Dna Comprehensive Therapy Services, LLC
• Doc 2 U Mobile Podiatry
• Docs in Ergent Care, LLC (the Doc's In ERgent Care, LLC)
• Doctor Near Me, PLLC
• Humeyra Nur Dogan, MD
• Anastasia Alexis Doherty, PHARMD

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.